Provider Demographics
NPI:1366431256
Name:LYONS, KAREN A (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:LYONS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 HOUSTON ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24450-2455
Mailing Address - Country:US
Mailing Address - Phone:540-463-2181
Mailing Address - Fax:540-463-1125
Practice Address - Street 1:108 HOUSTON ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-2455
Practice Address - Country:US
Practice Address - Phone:540-463-2181
Practice Address - Fax:540-463-1125
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-14
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101038054207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA025665OtherANTHEM
VAC00827OtherMEDICARE
VA006071678Medicaid
VAB4313OtherRAILROAD MEDICARE
VA010206774Medicaid
VA110047629OtherRAILROAD MEDICARE
VA144814OtherSOUTHERN HAELTH SERVICES
VAB4313OtherRAILROAD MEDICARE
VA144814OtherSOUTHERN HAELTH SERVICES
VA010206774Medicaid
VA060054501Medicare PIN